Journal of Gastrointestinal Surgery

, Volume 9, Issue 5, pp 747–749 | Cite as

Rectal impaction with epoxy resin: A case report

  • Anil K. Hemandas
  • Guy W. Muller
  • Ibrahim AhmedEmail author
Gastrointestinal Images


We describe a unique case of a patient presenting with rectal impaction following self-administration of a liquid used as masonry adhesive for anal sexual gratification. The solidified matter required laparotomy for its removal. Strategies for removing rectal foreign bodies are discussed as well as other consequences of inserting foreign material per rectum.

Key words

Foreign body rectal impaction epoxy resin 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Denko JD. Klismaphilia: Enema as a sexual preference. Am J Psychother 1973;27:232–250.PubMedGoogle Scholar
  2. 2.
    Cappell MS, Simon T. Fulminant acute colitis following a self-administered hydrofiuoric acid enema. Am J Gastroenterol 1993;88:122–126.PubMedGoogle Scholar
  3. 3.
    Herrerias JM, Muniain NA, Sanchez S, Garrido M. Alcohol induced colitis. Endoscopy 1983;15:121–122.PubMedGoogle Scholar
  4. 4.
    Barton JL, Terry JM, Barton ES. Enema abuse. Br J Psychiatry 1982;141:621–623.PubMedCrossRefGoogle Scholar
  5. 5.
    Eisele JW, Reay DT. Deaths related to coffee enemas. JAMA 1980;244:1605–1609.CrossRefGoogle Scholar
  6. 6.
    Barone JE, Yee J, Nealon TF. Management of foreign bodies and trauma of the rectum. Surg Gynecol Obstet 1983;156:453–457.PubMedGoogle Scholar
  7. 7.
    Eftaiha M, Hambrick E, Abcarian H. Principles of management of colorectal foreign bodies. Arch Surg 1977;112:691–695.PubMedGoogle Scholar
  8. 8.
    Kingsley AN, Abcarian H. Colorectal foreign bodies: Management update. Dis Colon Rectum 1985;28:941–944.CrossRefGoogle Scholar
  9. 9.
    Elam AL, Ray VG. Sexually related trauma: A review. Ann Emerg Med 1986;15:576–584.PubMedCrossRefGoogle Scholar
  10. 10.
    Michael D. Hellinger. Anal trauma and foreign bodies. Surg Clin North Am 2002;82:1253–1260.CrossRefGoogle Scholar
  11. 11.
    Ahmed A, Cummings SA. Novel endoscopic approach for removal of a rectal foreign body. Gastrointest Endosc 1999; 50:872–874.PubMedCrossRefGoogle Scholar
  12. 12.
    Stephens PJ, Taff ML. Rectal impaction following enema with concrete mix. Am J Forensic Med Pathol 1987;8:179–182.PubMedCrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2005

Authors and Affiliations

  • Anil K. Hemandas
    • 1
  • Guy W. Muller
    • 1
  • Ibrahim Ahmed
    • 1
    Email author
  1. 1.Department of Surgery, Level 3Medway Maritime HospitalGillinghamUK

Personalised recommendations